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June 17, 1905


Author Affiliations

Surgeon St. Anthony's Hospital, Kentucky School of Medicine Hospital, and Louisville City Hospital. LOUISVILLE, KY.

JAMA. 1905;XLIV(24):1906-1913. doi:10.1001/jama.1905.92500510014001c

It is conceded by the best authorities in both surgery and internal medicine that efficient drainage by some of the various surgical operations devised is the correct and only successful treatment for many diseased conditions of the stomach and duodenum, usually diagnosed as chronic indigestion; and for hemorrhage in acute ulcer of the stomach that resists medical treatment and is endangering the life of the patient; or for continued and profuse hemorrhage in chronic gastric ulcer; and for perigastric adhesions or stomach infiltration and contraction, that disturb the physics of digestion. There is not a consensus of opinion by our best abdominal surgeons, however, as to the method of drainage that accomplishes the best results in all cases. Hence, let us consider the facts bearing on the operations that have been performed, and decide which one of the several is the most logical, and has given and must give the best immediate and ultimate results.

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